The good, the great, and the ugly

Some countries refuse to accept the reality of health care rationing because they prefer to cling to the fiction that everybody can have everything. With organs for transplantation it's different. Nobody can deny that there are not enough organs to go round. In Britain the number of patients waiting for a liver increased from 83 in 1992 to 193 in 1996; in North America the number went from 2323 to 7467. So how do we decide who gets to the front of the queue?